Active NPI
Fairview Care Center - East, Inc.
Doing business as Fairview Care Center - East
- Nursing Facility/Intermediate Care Facility
- Salt Lake City, UT
National Provider Identifier
1174520472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 2005-NCF-107
- Legal business name
- FAIRVIEW CARE CENTER - EAST, INC.
- Doing business as
- Fairview Care Center - East
- Practice address
- 455 S 900 E
Salt Lake City, UT 84102-2933 - Phone
- (801) 355-6891
- Fax
- (801) 521-5248
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Ray Burton
- Title
- Ceo
- Phone
- (801) 355-6891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 2005-NCF-107 | UT | Primary |
Addresses
Primary practice location
455 S 900 E
Salt Lake City, UT 84102-2933
Mailing address
455 S 900 E
Salt Lake City, UT 84102-2933
Phone (801) 355-6891
Other names 1
- FAIRVIEW CARE CENTER - EAST
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174520472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022933",
"telephone_number": "801-355-6891",
"fax_number": "801-521-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022933",
"telephone_number": "801-355-6891",
"fax_number": "801-521-5248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRVIEW CARE CENTER - EAST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-355-6891",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "UT",
"license": "2005-NCF-107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAIRVIEW CARE CENTER - EAST",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.